NPIMap

Organization Active NPI

George R Tershakovec MD PA

  • Surgery Physician
  • Homestead, FL
National Provider Identifier
1477733327
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME039114 Issued in FL
Legal business name
GEORGE R TERSHAKOVEC MD PA
Practice address
975 Baptist Way Ste 201
Homestead Hospital
Homestead, FL 33033-7600
Phone
(786) 243-8701
Fax
(786) 243-8700
NPI assigned
Nov 8, 2007
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George R Tershakovec, M.D.NPI 1043311475
Title
Owner
Phone
(786) 243-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME039114 FL Primary

Addresses

Primary practice location

975 Baptist Way Ste 201
Homestead Hospital
Homestead, FL 33033-7600

Mailing address

975 Baptist Way Ste 201
Homestead Hospital
Homestead, FL 33033-7600
Phone (786) 243-8701

Other identifiers 1

IdentifierTypeStateIssuer
34580OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

151 NW 11th St
Ste 301
Homestead, FL 33030
Phone (305) 247-4447

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1477733327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY STE 201",
            "address_2": "HOMESTEAD HOSPITAL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8701",
            "fax_number": "786-243-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY STE 201",
            "address_2": "HOMESTEAD HOSPITAL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8701",
            "fax_number": "786-243-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R TERSHAKOVEC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "TERSHAKOVEC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-243-8701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME039114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.